"Clinical Research" Group of the Division of General Anaesthesiology, Emergency- and Intensive Care Medicine, University Hospital of Graz, Austria.
Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Austria.
Intensive Crit Care Nurs. 2020 Dec;61:102912. doi: 10.1016/j.iccn.2020.102912. Epub 2020 Aug 14.
Assessment of patients' wellbeing in the post anaesthesia care unit and how much each disturbance influences it. Furthermore, assessment of the incidence of the correlated disturbances and whether there are gender-specific aspects.
DESIGN/SETTING: Observational anonymised survey with a validated questionnaire in a university hospital in central Europe.
Incidence rates of wellbeing and disturbances in the post anaesthesia care unit.
The patients' most frequently reported early postsurgical disturbances (n = 349) were i) dry mouth (35.4%), ii) pain in the surgical area (12.7%) and iii) hunger (12.2%). Every other disturbance was below 10% (e.g. nausea). Subjective wellbeing was reported by 57.2% of our patients. There were weak correlations between wellbeing and physical discomfort, pain in the surgical area, sleepiness and nausea. The strongest correlation was with physical discomfort. Female patients showed more feelings of cold, nausea and headache.
Even in hospitals repeatedly certified in pain management, a high percentage of patients still claim early postoperative discomfort. We see the necessity for an increased focus on this topic and the need for investigations regarding patients' perception. The most frequent claims were related to pain in the surgical area and a dry mouth.
评估麻醉后护理单元患者的舒适度，以及每个干扰因素对其舒适度的影响程度。此外，评估相关干扰因素的发生率以及是否存在性别特异性方面。
设计/设置：在中欧一所大学医院进行的具有验证性问卷的观察性匿名调查。
麻醉后护理单元中舒适度和干扰因素的发生率。
患者术后早期最常报告的干扰因素（n=349）为：i）口干（35.4%）、ii）手术部位疼痛（12.7%）和 iii）饥饿（12.2%）。其他干扰因素均低于 10%（如恶心）。我们的患者中有 57.2%报告了主观舒适度。舒适度与身体不适、手术部位疼痛、嗜睡和恶心之间存在弱相关性。与身体不适的相关性最强。女性患者感到更冷、恶心和头痛。
即使在多次获得疼痛管理认证的医院，仍有很大比例的患者声称术后早期不适。我们认为有必要更加关注这一问题，并需要对患者的感知进行调查。最常见的抱怨与手术部位疼痛和口干有关。
